HCPCS L3964
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Fee Schedule
Low
$0
Average
$195
Median
$204
High
$371
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Anthem facility · fee schedule · outpatient · +2 other terms | 3 | $337 | $500 | $409 | 82% | — | $55 – $1.3k |
| 2 | Aetna professional · fee schedule · outpatient | 2 | $451 | $371 | $401 | 108% | — | $29 – $1.3k |
| 3 | Kaiser fee schedule · both | 2 | $99 | $99 | — | — | — | $99 – $99 |
| 4 | Caresource fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Hospitals reporting HCPCS L3964 · Snapshot 20261113T090226Z-3ce6c0b8